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Note 9 - Related Party (Details Textual) - USD ($)
3 Months Ended 9 Months Ended 15 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Ameritas Life Insurance Corp [Member]          
Related Party Transaction, Amounts of Transaction $ 67,000 $ 61,000 $ 181,000 $ 187,000  
IMA Financial Group [Member] | Purchasing Directors and Officers and Employment Practices Liability Insurance [Member]          
Related Party Transaction, Amounts of Transaction     478,000   $ 0
PracticingExcellence.com [Member]          
Revenue from Related Parties $ 84,000 $ 170,000 $ 251,000 $ 493,000